Literature DB >> 11901568

Does the diagnosis of coronary calcification with electron beam computed tomography motivate behavioral change in smokers?

Patrick G O'Malley1, Erik J Rupard, David L Jones, Irwin Feuerstein, Michael Brazaitis, Allen J Taylor.   

Abstract

BACKGROUND: Electron beam computed tomography is promoted as a test that may enhance patient motivation to alter cardiovascular risk behaviors.
METHODS: We surveyed a consecutive sample of asymptomatic, active smokers (N = 144) who underwent screening electron beam computed tomography about their current motivation to alter their smoking behavior in the context of their tomography results.
RESULTS: Patients with coronary artery calcification (42% of the sample) were more likely to perceive increased cardiovascular risk (42 vs. 13%; p < 0.01). Overall, most patients (59%) rated themselves as more motivated to quit smoking after electron beam computed tomography, but there was no relationship between motivational levels or smoking behavioral change and the presence of coronary artery calcification.
CONCLUSIONS: In smokers predominantly self-referred for electron beam computed tomography, the presence of coronary artery calcification does not appear to influence motivation for smoking cessation or smoking behavior.

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Mesh:

Year:  2002        PMID: 11901568

Source DB:  PubMed          Journal:  Mil Med        ISSN: 0026-4075            Impact factor:   1.437


  6 in total

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Authors:  Nicolas Rodondi; Reto Auer; Vanessa de Bosset Sulzer; William A Ghali; Jacques Cornuz
Journal:  J Gen Intern Med       Date:  2011-09-01       Impact factor: 5.128

2.  Coronary artery calcium in relation to initiation and continuation of cardiovascular preventive medications: The Multi-Ethnic Study of Atherosclerosis (MESA).

Authors:  Khurram Nasir; Robyn L McClelland; Roger S Blumenthal; David C Goff; Udo Hoffmann; Bruce M Psaty; Philip Greenland; Richard A Kronmal; Matthew J Budoff
Journal:  Circ Cardiovasc Qual Outcomes       Date:  2010-04-06

3.  Effects of an office-based carotid ultrasound screening intervention.

Authors:  Heather M Johnson; Terry L Turke; Mark Grossklaus; Tara Dall; Sanford Carimi; Laura M Koenig; Susan E Aeschlimann; Claudia E Korcarz; James H Stein
Journal:  J Am Soc Echocardiogr       Date:  2011-04-07       Impact factor: 5.251

4.  Multidetector computed tomography for coronary artery disease screening in asymptomatic populations: evidence-based analysis.

Authors: 
Journal:  Ont Health Technol Assess Ser       Date:  2007-05-01

Review 5.  Is there a role for coronary artery calcium scoring for management of asymptomatic patients at risk for coronary artery disease?: Clinical risk scores are sufficient to define primary prevention treatment strategies among asymptomatic patients.

Authors:  Charlotte Andersson; Ramachandran S Vasan
Journal:  Circ Cardiovasc Imaging       Date:  2014-03       Impact factor: 7.792

6.  Health behavior modification after electron beam computed tomography and physician consultation.

Authors:  Jennifer Schwartz; Mathew Allison; C Michael Wright
Journal:  J Behav Med       Date:  2010-09-21
  6 in total

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